# OGEMAW COUNTY EMERGENCY MEDICAL SERVICES AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OGEMAW COUNTY EMS AUTHORITY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578504882
- **Authorized official:** JUSTIN ROGERS (DIRECTOR)
- **Authorized official phone:** (989) 387-1961

## Contact information

- **Practice address:** 2872 HANSEN RD, WEST BRANCH, MI 48661-9317
- **Practice address phone:** (989) 345-4503
- **Mailing address:** PO BOX 399, WEST BRANCH, MI 48661-0399
- **Mailing address phone:** (989) 345-4503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 651001 | MI | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 09/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4893899 | — | MI |
| 01 | — | 590F510370 | BCBSM | MI |
